A woman undergoes so many horomonal changes throughout her life with each stage bringing a plethora of horomonal fluctuations. The latter affect the vulvovagiunal area to a great extent but still skin care for the private areas is one of the most under addressed issue. Women feel embarrassed to discuss or even ask their queries regarding genital hygiene. I have tried to address few of these common issues and concerns and strongly encourage them to address their concerns and anxiety in my Vulvar clinic .
Ans- Women tend to be a little more particular and over enthusiastic when it comes to cleaning their private parts.
a)Avoid using irritant products like harsh soaps and vaginal washes to clean the vulva.Nature has a way of maintaining the vaginal ecosystem.
b)Do not wash the vulva too often (once a day is usually enough) as this may cause dryness and irritation.
c)Overwashing the vulvovaginal area disturbs the normal ecoflora hence predisposing to candidal infections.
d)Apply an emollient (moisturising) ointment, cream or lotion regularly.
Ans- Wash your vulva gently, using either your hands or a soft flannel or cloth. Pat the area dry with a soft towel or tissue. If your vulva is inflamed, it is preferable to use an emollient as a substitute for soap. Do not use cleansing wet wipes or perfumed tissue.
Ans- An emollient will moisturise and soothe the vulval skin if it is sore or itchy.In general, keep these points in mind when chosing a moisturiser :
a)Avoid perfumed products or ones which have ‘fragrance’ labelled as a constituent.
b)Avoid perfumed vaginal washes or irritants like dettol for washing your private areas.
c)Avoid preservatives like parabenc containing products especially close to genitalia.
1)Complete genitourinary examination including visual inspection of the external genitalia and labia
2)Pediatric sized speculum or digital examination for screening of any genitourinary conditions.
3)Collection of vaginal secretions for wet mount and other microscopic examination if indicated.
Patient comfort and accurate diagnosis remains our top priority and only Evidence based treatments are recommended.